DedeCMS 5.7 用自定义表单制作自助挂号平台

来源：互联网发布：知乎特朗普盗窃编辑：程序博客网时间：2024/04/30 19:25
前端界面
添加自定义表单
创建新的自定义表单
新增表单字段
前台测试

进入后台查看结果
前端设计
表单代码
<form id="gh_form" name="gh_form" onsubmit="javascript:return check();" target="_blank" autocomplete="off" method="post" action="/syspu/diy.php">    <table width="100%">        <tr>            <td height="8"></td>        </tr>        <tr>            <td colspan="2" align="center" valign="middle"><h2>(本网站已加密,绝对保障个人隐私)</h2></td>        </tr>        <tr>            <td height="8"></td>        </tr>        <tr>            <td width="70" align="right">患者姓名：</td>            <td><input type="text" class="tet01" id="name" name="name" onblur="this.value=ignoreSpaces(this.value);"></td>        </tr>        <tr>            <td height="8"></td>        </tr>        <tr>            <td width="70" align="right">电话/QQ：</td>            <td><input type="text" class="tet01" id="contacts" name="contact" onblur="this.value=ignoreSpaces(this.value);"></td>        </tr>        <tr>            <td height="8"></td>        </tr>        <tr>            <td width="70" align="right">就诊日期：</td>            <td><input type="text" class="tet01  datepicker" id="date" name="comedate" onblur="if(this.value==''){this.value=this.defaultValue;}" onfocus="if(this.value==this.defaultValue){this.value='';};" value="点击选择就诊日期"  readonly="readonly"></td>        </tr>        <tr>            <td height="8"></td>        </tr>        <tr>            <td width="70" align="right">预约病种：</td>            <td><select name="disease" id="type">            <option value="无痛人流">无痛人流</option>              <option value="妇科检查">妇科检查</option>             <option value="月经疾病">月经疾病</option>             <option value="白带异常">白带异常</option>            <option value="妇科炎症">妇科炎症</option>              <option value="子宫肌瘤">子宫肌瘤</option>             <option value="宫颈糜烂">宫颈糜烂</option>             <option value="不孕不育">不孕不育</option>            <option value="处女膜修复">处女膜修复</option>            <option value="其他妇科病">其他妇科病</option>          </select></td>        </tr>        <tr>            <td height="8"></td>        </tr>        <tr>            <td width="70" align="right">预约专家：</td>            <td><select name="expert">                    <option value='谢伟'>谢伟</option>                    <option value='刘彦'>刘彦</option>                    <option value="刘玉梅">刘玉梅</option>                    <option value="周彩娟">周彩娟</option>                    <option value="王桂纯">王桂纯</option>                    <option value="尤艳玲">尤艳玲</option>                    <option value="姚年根">姚年根</option>                    <option value="孙进">孙进</option>                    <option value="杨萱">杨萱</option>                </select></td>        </tr>        <tr>            <td height="8"></td>        </tr>        <tr>            <td  colspan="2" align="center" valign="middle" class="few">                           <input type="hidden" name="action" value="post" /><input type="hidden" name="diyid" value="1" /><input type="hidden" name="do" value="2" />                <input type="hidden" name="dede_fields" value="name,text;contact,text;comedate,text;disease,select;expert,select" /><input type="hidden" name="dede_fieldshash" value="488950a1db7bf0e25d23e6dfab1d8cd7" />            <input class="fwee" type="submit" value="提交挂号" onclick="return check();"><a href="/swt/"><img src="/templets/images/gh_b012.jpg"></a></td>        </tr>        <tr>            <td height="8"></td>        </tr>    </table>    </form>
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